Percutaneous Irreversible Electroporation of Locally Advanced Pancreatic Carcinoma Using the Dorsal Approach: A Case Report
| Autor: | Geert Kazemier, Marleen C. A. M. Melenhorst, Aukje A. J. M. van Tilborg, Martijn R. Meijerink, Hester J. Scheffer, Karin Nielsen, J.A. Vogel |
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| Přispěvatelé: | Graduate School, 02 Surgical specialisms, Radiology and nuclear medicine, Surgery, CCA - Innovative therapy |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous medicine.medical_treatment Adenocarcinoma Radiography Interventional Inferior vena cava Pancreatic tumor medicine.artery medicine Humans Radiology Nuclear Medicine and imaging Stage (cooking) Pancreas Aged Aorta business.industry fungi Irreversible electroporation medicine.disease Ablation Surgery Pancreatic Neoplasms Electroporation Treatment Outcome medicine.anatomical_structure medicine.vein Catheter Ablation Duodenum Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | Scheffer, H J, Melenhorst, M C A M, Vogel, J A, van Tilborg, A A J M, Nielsen, K, Kazemier, G & Meijerink, M R 2015, ' Percutaneous Irreversible Electroporation of Locally Advanced Pancreatic Carcinoma Using the Dorsal Approach: A Case Report ', CardioVascular and Interventional Radiology, vol. 38, no. 3, pp. 760-765 . https://doi.org/10.1007/s00270-014-0950-x Cardiovascular and interventional radiology, 38(3), 760-765. Springer Verlag CardioVascular and Interventional Radiology, 38(3), 760-765. Springer Verlag |
| ISSN: | 0174-1551 |
| DOI: | 10.1007/s00270-014-0950-x |
| Popis: | Irreversible electroporation (IRE) is a novel image-guided ablation technique that is increasingly used to treat locally advanced pancreatic carcinoma (LAPC). We describe a 67-year-old male patient with a 5 cm stage III pancreatic tumor who was referred for IRE. Because the ventral approach for electrode placement was considered dangerous due to vicinity of the tumor to collateral vessels and duodenum, the dorsal approach was chosen. Under CT-guidance, six electrodes were advanced in the tumor, approaching paravertebrally alongside the aorta and inferior vena cava. Ablation was performed without complications. This case describes that when ventral electrode placement for pancreatic IRE is impaired, the dorsal approach could be considered alternatively. |
| Databáze: | OpenAIRE |
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